AMA CPT® Assistant - 2019 Issue 4 (April)

Surgery: Cardiovascular System (Q&A) (April 2019)

April 2019 page 10c Surgery: Cardiovascular System Question: An elderly patient was brought into the operating room with an ascending aortic arch aneurysm. The surgeon performed a total aortic arch and ascending aorta replacement, followed by a bifurcated graft between the ascending aortic graft, innominate artery, and left carotid artery. Lastly, a left atrial appendage ligation was performed. What code(s) should be reported? Answer: Report code 33860, Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed, with modifier 22, Increased procedural services, for the ascending aortic repair and total aortic arch repair. Code 33999, Unlisted procedure, cardiac...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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